Health
Rapid test for SARS-CoV-2 antigen detection in delta mutants
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Although less sensitive than RT-PCR, these tests allow reliable detection of high viral load associated with the presence of infectious viral particles, making them an important public health tool.
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However, most of the Ag-RDT validation studies were done before the emergence of the SARS-CoV-2 mutant of concern.
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Previously, nine commercially available Ag-RDT analytical sensitivity tests were performed on the first three identified mutant strains of concern (alpha, beta, and gamma) and one previously of interest mutant strain (zeta). I ran it.
The starting dilution of the infectious titer of the virus used in this study was 4.24 log.Ten Plaque forming unit per mL, equivalent to 8.15 log.Ten RNA copy per mL, 6.70 logsTen RNA copy per mL, 7.18 logsTen RNA copy per mL, 8.30 logsTen RNA copy per mL, and 6.00 logsTen RNA copy per mL of virus stock of B.1.610, alpha variant, beta variant, gamma variant, and delta variant.
A virus-free Ag-RDT buffer was used as a negative control. The results were read independently by two individuals. A visible test band in the presence of a visible control band was considered a positive result.
In this study, the accuracy of 11 Ag-RDTs for detecting the variant of concern was determined. Analytical validation with cultured viruses may be a substitute for clinical accuracy, but not a substitute for clinical evaluation. Nevertheless, despite the slight difference in sensitivity, Ag-RDT has, in principle, shown to remain effective in detecting mutants of concern, including the currently predominant delta mutants. rice field.
We do not declare competing interests. This work was supported by the Swiss National Science Foundation (Grant No. 196383), the Foundation Ancrage Bienfaisance du Groupe Pictet, and FIND, a global alliance for diagnosis. The Swiss National Science Foundation and the Group Pictet Bank Foundation were not involved in the collection, analysis or interpretation of the data. Rapid antigen diagnostic tests were provided by FIND, which was involved in methodology, data analysis, and interpretation. CE is an employee of FIND. MB and KA contributed equally.
Supplementary material
References
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SARS-CoV-2 Rapid Antigen Test: High sensitivity for detecting infectious viruses.
J Clin Virol 2021; 140104846
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SARS-CoV-2 rapid diagnostic test for new variants.
Lancet microorganisms. 2021; 2: e351
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Antigen detection in the diagnosis of SARS-CoV-2 infection using rapid immunoassay.
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Rethinking the sensitivity of the COVID-19 test — a strategy for containment.
N Engl J Med. 2020; 383: e120
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Weekly epidemiological updates on COVID-19.
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Release date: November 24, 2021
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- SARS-CoV-2 rapid diagnostic test for new variants
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The SARS-CoV-2 Antigen Detection Rapid Diagnostic Test (Ag-RDT) is a powerful tool for public health interventions, providing laboratory-independent results at the Point of Care. A clinical and analytical study published in 2021 showed SARS-CoV-2Ag-RDT detection thresholds associated with the presence of infectious virus in symptomatic SARS-CoV-2 infection.1,2 However, most of the Ag-RDT validation studies were done before the emergence of SARS-CoV-2 concerns (VOCs) or interests (VOIs), with VOCs now surpassing previous strains.
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